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    Jan 23, 2021
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    Outcomes For Street Children and Youth Under Multidisciplinary Care in a Drop-In Centre in Tegucigalpa, Honduras

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    Authors
    Souza, R
    Porten, K
    Nicholas, S
    Grais, R
    Affiliation
    Médecins Sans Frontières, Geneva, Switzerland; Epicentre, Paris, France
    Issue Date
    2010-09-14
    
    Metadata
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    Journal
    International Journal of Social Psychiatry
    Abstract
    BACKGROUND: There is little evidence to describe the feasibility and outcomes of services for the care of street children and youth in low-income countries. AIMS: To describe the outcomes of a multidisciplinary case management approach delivered in a drop-in centre for street children and youth. METHODS: A longitudinal study of street children and youth followed in an urban drop-in centre. Four hundred (400) street children and youth received a multidisciplinary case management therapeutic package based on the community reinforcement approach. The main outcomes were changes in psychological distress, substance abuse and social situation scores. RESULTS: The median follow-up time for the cohort was 18 months. There were reductions in the levels of psychological distress (p = 0.0001) and substance abuse (p ≤ 0.0001) in the cohort as well as an improvement in the social situation of street children and youth (p = 0.0001). There was a main effect of gender (p < 0.001) and a significant interaction of gender over time (p < 0.001) on improvements in levels of psychological distress. Survival analysis showed that the probability of remaining on substances at 12 months was 0.76 (95% CI: 0.69-0.81) and 0.51 (95% CI: 0.42-0.59) at 24 months. At 12 months, fewer female patients remained using substances compared to male (p < 0.01). CONCLUSION: To be most effective, programmes and strategies for children and youth in street situations in developing countries should target both their health and social needs.
    URI
    http://hdl.handle.net/10144/129971
    DOI
    10.1177/0020764010382367
    PubMed ID
    20841336
    Additional Links
    http://isp.sagepub.com/content/early/2010/09/13/0020764010382367.abstract
    Type
    Article
    Language
    en
    ISSN
    1741-2854
    ae974a485f413a2113503eed53cd6c53
    10.1177/0020764010382367
    Scopus Count
    Collections
    Paediatrics

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